Tuesday, March 31, 2009

14 yo girl 3 months after scoliosis surgery doing flips on trampolene. Getting people back to sports after scoliosis surgery.

Today, one of our adolescent scoliosis guests came in for her 3 month checkup and shared this video clip with Jaclyn, my PA.
She had a T5-L3 instrumentation and fusion for a double curve scoliosis.  We worked very hard to keep her fusion as short as possible, preserving the bottom 3 disks, but still getting an awesome correction.
In this video, she is shown doing front and back flips on a trampoline, with very good form, and excellent flexibility.
She was also snow-boarding this past winter as well.
We allow our adolescent scoliosis guests to return quickly to sports.  
We have had very competitive swimmers, for example, get back to diving into the pool, and doing kick turns within first couple of weeks of surgery.
This is especially important for high performance swimmers, and other athletes, who have real trouble catching up training-wise if they were out of commission for several months.
It is also a huge part of their life, their growth, and development.
The young lady from Indiana who plays very highly competitive basketball looks forward to getting back to the courts soon. 

This can be accomplished safely our spinal hardware constructs and surgical techniques combined with the stronger bone found in younger people.
Enjoy the video!
Lloyd A. Hey, MD MS
Hey Clinic for Scoliosis and Spine Surgery
Raleigh, NC  USA
Member, Scoliosis Research Society (SRS)  http://www.srs.org

This morning's scoliosis surgery: 42 yo woman w 54 degree R thoracic curve

T5-L1 instrum and fusion
Surgical time: 2 hour 40 min.
EBL: 350 cc.
Blood Transfusion: none.
Complications: none.
Correction: excellent.
A good morning.

Our 14 yo kyphosis guest from Indiana got home safely last night.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery.
Raleigh, NC USA.

Monday, March 30, 2009

Afternoon surgery today: approx 70 yo w degenerative scoliosis, flat back syndrome, spondylolisthesis, and sever 4 level stenosis.

Could barely walk preop.
L1-Iliac wing instrum and fusion w 4 level lumbar laminectomies and osteotomies.
Surgical time:  3 hours.
EBL: 1200 cc
Blood transfused:  none.
Correction: good in both planes. Lordosis dramatically improved.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery

12 yo girl w long 43 degree scoliosis fixed this morning.

Severely out of balance preop.
T5-L3 instrumentation.
Surgical time: 2 hour 15 min.
EBL:  500 cc
Cell saver: 225 cc.
Blood transfused:  none.
Correction: 90+ percent.

Our 14 yo from Indiana who had kyphosis surgery last friday is in the air now flying home from RDU. She did great with another 2+ inches in height and a beautiful new posture! 

Saw 17 yo w 78 degree kyphosis this morning for second opinion regarding need for anterior posterior surgery. I think she could do great w posterior approach only w osteotomies. I thing the young lady and her parents were relieved!

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery

Thursday, March 26, 2009

Today's Hey Clinic surgery: 14 yo young lady with 81 degree Scheuermann's Kyphosis now quite straight

Surgery: T3-L2 nstrumentation and fusion with 4 posterior Smith-Peterson Osteotomies.
Surgical time: 4 h 50 min.
Estimated Blood loss: 1000 cc
Blood transfused: none.
Correction: excellent
Room Aura: excellent.
Radio Station: john mayer mix on pandora ( nurse kelly sang along!)
Postop guest location: recovery room to large private room w 2 beds.

Dr. Lloyd Hey

Tuesday, March 24, 2009

Back to Life Story After Kyphosis Surgery for woman in her 30's/40's with Dr. Hey, and riding roller coasters pain free!

From: Fr
Date: Mon, 23 Mar 2009 20:28:05 -0400
To: Brittany , Lloyd Hey
Subject: Back to LIfe

Dear Dr. Hey, Brittany and Wonderful Hey Clinic Staff,

I have been meaning to share my "Back to LIfe Story" but life is busy and makes it hard to stop and and share, but yesterday was WONDERFUL and I wanted to drop a few lines.

As you both recall, my nearly 90 degree kyphosis was "straightened out" on October 30, 2008. Back in April 2008, I met with Brittany and decided it was time for move forward with surgery.  Even though I was experiencing almost daily low back pain, I wanted to wait until "Roller Coaster Season" was over. My family frequents Busch Gardens Williamsburg often and it was important to me to have time to spend "quality time" with my kids somewhere everyone enjoyed being.  Both Brittany and Dr. Hey assured me I would be able to resume roller coasters, but in the back of my mind, all I could picture was my tall, thin self feeling each and every one of my sixteen screws and two rods with each drop and inversion of my favorite coasters.

Yesterday, a little less than five months post op ( and with Brittany and Dr. Hey's permission) I made the trip to Busch Gardens Williamsburg!  First, I should mention I no longer suffer for ANY low back pain. Since post op day one, the low back pain totally disappeared! I have driven hours and walked for miles and never once, has the low back pain ever returned.  It used to be a chore to drive more than two hours or walk for long distances.  Not only did I drive to Virginia and home on the same day with NO back pain, but I walked throughout Busch Gardens, inclines, steps and all, without needing to sit down or stop to rest.

Of course, the most wonderful part of the day was riding all five rollercoasters....pain free!!!  The little things, like my shoulders actually upright against the seats ( not curved forward and hitting the seat harnesses), and being able to place my low back against the seat backs....it was amazing!  I realize this may sound trivial to someone who has a normal spine, but to others, like myself, who have always been told to "stand up straight" or catch a glance of yourself from the side to only see your spine looking more and more like a question mark sign, standing tall and straight is often a long journey.  

Again, thanks to you both, as well as each and every Hey Clinic Staff member. It's important to me other women in the thirty and forty somethings not to shy away from correcting scoliosis or kyphosis. I will be the first to admit, spinal fusion and instrumentation is a HUGE surgery.  My recovery was difficult at times but you work though those moments.  Once I was home, I didn't need narcotics ( which amazed all my friends and relatives). The day I was discharged from DHRH, I was walking short distances and then driving about two and a half weeks post op. I even returned to work full-time  four and a half weeks post op! My patients were impressed I was back so soon and standing about one and a half inches taller. I have happily recommended the Hey Clinic to many of my patients.

I have attached a few pictures from my trip to Busch Gardens. One pictures is of me standing in front of my favorite coaster, Griffon. My daughter and I had just left the coaster and I was so excited to tell her the two minute ride was pain free! If you look closely, you can see the train holding for five seconds before the brake releases and the train "dives" down ninety degrees and reaches seventy miles per hour. It was incredible to know the forces I experienced yet, there was no back pain!!!  The second picture  shows the other coasters and hopefully, the different forces of each one. It's so important for me to share with other kyphosis patients what a great day it was!

Thanks again for everything!!! If any of your patients should ever question post op limitations or have ANY questions about surgery, please feel free to share my email.  

With much gratitude,


------ End of Forwarded Message

Lloyd A. Hey, MD MS

Saturday, March 21, 2009

Adolescent scoliosis "double header" Monday with brother and sister from Virginia

Every week at Hey Clinic has it’s wonderful bright spots.
This week had several, including this wonderful family from Virginia.
The dad had contacted me a 3 weeks ago about scoliosis surgery second opinion for his two teen-age children, both of which had 70 degree severe scoliosis.  He emailed me the X-Rays and we did a phone conference.
We saw them for second opinion a week or so ago, and were able to arrange our schedule to accommodate their family’s schedule.
We actually did the daughter’s surgery in the morning (girls go first!), and then did her brother’s surgery in the afternoon.
They both did great, and loved the nurses and therapists and others on the orthopaedic unit.
Our nurse manager arranged for them to have 2 adjoining private rooms, both of which had an extra bed, so mom could stay with the daughter, and dad could stay with the son!
Terry, one of our nurses did their discharge planning and sent them home to Virginia.
They spent 3 nights in the hospital, and both did great, with excellent corrections, and excellent improvement in their height.
No blood transfusions were required and their surgeries took around 3 and 3 and a half hours repectively.
As the mom was leaving, she wanted all the nurses and other caregivers to know at Dukr Raleigh Hospital and Hey Clinic that they had a “wonderful experience.”

That’s what it is all about!

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery

Thursday, March 12, 2009

Woman in her 30's shares about improved quality of life 5 weeks after major scoliosis surgery.FW: Post Surgery Update - 5 Weeks & 1 Day :) :)

From: Jay
Date: Thu, 12 Mar 2009 08:22:26 -0400
To: Lloyd Hey
Subject: Post Surgery Update - 5 Weeks & 1 Day :) :)

Good Morning,
Hope all is well with you.
The last week (even days) has brought tremendous improvement.

I am only taking tylenol and advil now as needed for the pain, plus the muscle relaxer at night.

I am "out and about" for a 1/ 2 to 2/3's of a day at a time without significant fatigue or pain. :) :)

I can now "STAND" at the sink to brush my teeth rather than having to sit down to do it.  Something I haven't been able to do for 6 months.... :)

I was able to put on socks without the "sock aid" this morning for the first time.......  :)

It's all these "little" things in life that are missed when gone: And are what make up a "LOT OF THE GOOD" things in life.



I look forward to seeing you on the 24th for my check-up.


------ End of Forwarded Message


Tuesday, March 10, 2009

15 yo 49 degree scoliosis fixed today

Surgical time: 2 hour 45 min
Levels: T4-L1.
Correction: excellent.
Technique: simultaneous 2 rod derotation.
EBL: 1000 cc.
Blood transfused: none.
Cell saver reinfused: 450.
Room aura: excellent!

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery

Monday, March 9, 2009

Today's scoliosis surgery: 79 degree scoliosis fixed for this 55 yo woman.

Procedure: T5-Iliac wing instrumentation and fusion w multiple osteotomies.
Surgical time: 4 hour 20 minutes.
Correction:  quite good.
Complications: none.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery.

Thursday, March 5, 2009

Today's scoliosis surgery

T12-iliac wing w 4 level laminectomy and 2 level osteotomy. (8 segments)
Correction excellent.
EBL: 1000 cc.
Blood: none.
Surgical time: 3 hrs 0 minutes.
Room aura: excellent.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
Raleigh, NC  USA

Tuesday, March 3, 2009

L5S1 spondylolisthesis and flat back syndrome w severe degeneration below scoliosis fusion fixed today w anterior ALIF L5S1, and posterior L3-Iliac wing extension instrumentation and fusion w posterior osteotomy

Surgical time: 4 hrs 10 minutes for full front and back (A/P)
estimated blood loss (EBL): 300 cc.
Room aura: excellent.
Deformity correction: excellent - 75 degrees of post surgical lordosis.
Postop location: ortho floor.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery

Monday, March 2, 2009

This morning's scoliosis fix!

T-12 to Iliac Wing
5 level lumbar laminectomy for stenosis. One osteotomy.
Surgical time: 3 hrs 5 minutes.
Correction: excellent.
EBL 875 cc.
Blood given: none.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery